In studies and surveys conducted between 2017-2020 with 25, 594 men, 45% said they would like to have a larger penis. However, few people decide to have surgery. Today there is an alternative to surgical intervention - penis enlargement with hyaluronic acid (HA-hyaluronic acid). In the article we will understand all aspects of this technique, its effectiveness and safety.
What kind of procedure is this?
Penile enlargement with hyaluronic acid is a minimally invasive procedure in which a biocompatible filler is inserted under the skin of the penis or glans using thin needles or venfor (cannulas). The result after correction is immediate and lasts for one to two years, depending on the properties of the filler.
Hyaluronate is a temporary filler and has been proven to be a safe and effective way to plump soft tissue. In this way, you can increase the circumference of the penis by 2-3 cm and the length by 1-3 cm. In addition, the effect increases steadily in the first month. This is because hyaluronic acid binds and holds onto water molecules, increasing the volume of the penis.
In aesthetic medicine, several names are used for this method of penis enlargement:
- Plastic surgery of the intimate contour;
- Penis enlargement with hyaluronate;
- intimate filling;
- Injection palloplasty.
Penile enlargement with hyaluronic acid is a non-surgical procedure that is performed on an outpatient basis and the patient can return home immediately after administering the medication.
Penis enlargement with hyaluronic acid is a safe procedure. The need for safer, more effective and less invasive treatments has increased in all areas of modern medicine. Penis enlargement with hyaluronic acid solves three problems: medical, psychological and aesthetic. In the United States, soft tissue fillers are the second most popular minimally invasive procedure. More than 2. 6 million such fillers were performed in 2019.
Is penis enlargement with fillers necessary?
Each case is individual and it is impossible to give a general answer. With a good erection, even a small penis can give a woman pleasure and bring her to orgasm. This is because the most sensitive G-spot is located on the front wall at the entrance to the vagina. You can find out more about normal penis size in this article.
Indications for injections into the shaft of the penis
The introduction of hyaluronate into the shaft of the sexual organ occurs for several indications:
- psychological problems associated with small penis size;
- insignificant thickness of the penis or the so-called "thin penis";
- insufficient stimulation of the partner's vagina during sexual intercourse and her dissatisfaction;
- Disproportion of the parameters of the partners' sexual organs (large vaginal volume and small penis);
- erectile dysfunction of a psychogenic nature associated with the syndrome of anticipation of failure due to the small size of the penis;
- Peyronie's disease – curvature of the penile shaft;
- Defects of the urethra;
- Consequences of unsuccessful operations on the genital organ;
- fibrosis of the erectile tissue;
- genetic and hormonal pathologies leading to underdevelopment of the penis, micropenis.
It should be noted that the correction of hyaluronic acid in the shaft of the penis does not lead to lengthening of the penis, but only gives it volume by increasing its girth and diameter, although the penis looks visually more impressive in a resting state and during an erection.
Indications for injections into the head of the penis
Minimally invasive enlargement of the glans penis with hyaluronic acid is carried out for the following indications:
- small size of the penis head in relation to the shaft (thin head);
- the crown is insufficiently pronounced;
- smoothed frenulum;
- wrinkled mucous membrane of the head;
- deformation of the head of the penis after an injury;
- premature ejaculation.
This correction of the head can not only improve its shape, but also increase its length.
What results can you expect after injections?
After introducing the filling material into the shaft, its circumference increases by 1-2 cm, and the intervention on the glans not only improves its aesthetic qualities, but also lengthens the penis by 3-5 cm. The hyaluronic acid is distributed evenly under the skin. Smoothes the skin and mucous membranes and improves the appearance of the penis. Administration of the gel helps to increase the relief of the crown of the head and its width, highlight the frenulum, make it more convex and change the shape and volume of the head.
When at rest, the penis filled with hyaluronate is heavier and therefore lasts longer because it is not retracted into the groin. When erect, it looks thicker than before the injections, but the length remains the same.
Gel injections into the glans help men suffering from premature ejaculation deal with this problem. Hyaluronate is injected into the sensitive part of the head - the frenulum. The substance penetrates the subcutaneous layer and spreads into the intercellular space, displacing part of the receptors into the lower subcutaneous layers. This reduces the sensitivity of the penis and allows the man to control the onset of orgasm.
How long does the effect last?
The results of the first filler injection last between nine months and two years. In addition, the volume increases steadily in the first six months as the broken down short hyaluronic acid units retain more water. The enzyme dehyaluronidase then gradually breaks down the acid. After 12 months, more than 30% of the gel disintegrates. To restore volume, it is recommended to repeat the process. With repeated injections, hyaluronate tends to break down less.
According to reviews, such penis enlargement with hyaluronic acid increases a man's sexual attractiveness, increases the quantity and quality of sexual intercourse, while due to additional stimulation he feels more vivid sensations and brings pleasure to his partner, which also increases a man's self-esteem.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to the mucopolysaccharides and is part of the epithelium, nerve and connective tissue. It is contained in the extracellular space, in biological fluid, including biological lubricant. The body of a person of average weight contains about 16 g of this substance. Hyaluronate is involved in tissue hydrodynamics and cell reproduction. Its regenerating effect is associated with this property.
The substance contains up to 25, 000 disaccharide units and can absorb the same amount of water. It is this ability of the polysaccharide that gives additional volume to the hyaluronate and penile tissue. Therefore, the introduction of exogenous hyaluronic acid is completely safe for humans.
This compound is not rejected by the body and does not cause allergies. It has been used in medicine since the 80s of the last century to increase the viscosity of synovial fluid in joints. The technique of increasing penis volume and length using hyaluronic gel appeared relatively recently, but has won the trust of men as an effective procedure that does not require surgical intervention.
Recommendations for choosing a hyaluronic acid filler
The choice of filling material is the responsibility of the doctor. Gels differ in composition, density and proportion of hyaluronic acid. Some fillers add a local anesthetic to relieve pain after the procedure, but such formulations are more expensive. The density is chosen by the doctor according to the goals and the injection site.
Many penile injection fillers indicate that the product contains cross-linked hyaluronic acid. It consists of alternating monomers of D-N-acetylglucosamine and D-glucuronic acid. The monomer units are crosslinked into a polymer using biocompatible urea. Such cross-linked biopolymers tend to last longer in the implanted area compared to traditional hyaluronate and improve the quality of penile tissue filling.
How to perform penis enlargement with hyaluronic acid
The procedure itself is preceded by a preparation phase. The andrologist takes an anamnesis, asks about systemic and chronic illnesses, psychological problems and carries out an examination. Patients agree to the processing of their personal data. Before the procedure, tests are carried out:
- general blood analysis;
- urine test;
- Blood test for coagulation.
Depending on the indication, further studies may be necessary.
Penis enlargement with hyaluronate is carried out on an outpatient basis. Before the correction, the hair in the groin area is shaved. The procedure is carried out under local anesthesia.
Inserting the filling material into the penis takes place in several steps:
- The groin area is treated with an antiseptic and covered with a sterile disposable diaper.
- An anesthetic gel is applied to the penis and takes effect after 15 minutes.
- The required amount of medication with hyaluronic acid is drawn into the syringe. A thin needle is inserted into the subcutaneous layer and the filler is slowly injected. The doctor ensures that the hyaluronate is evenly distributed in the injection area.
- An aseptic bandage and plaster are applied to the injection site.
The duration of the procedure depends on the number of injections and, taking into account the anesthesia time at the hyaluronic acid injection sites, is between half an hour and an hour
Methods of administration
There are various methods for inserting filling material into the glans. The doctor selects the technique depending on the indications. More often, several methods are combined to improve the aesthetics of the tip of the penis:
- Fan method— Hyaluronate is injected with a thin needle in different directions through a fan-like puncture.
- Spot method- The injection is carried out on a limited part of the penis to eliminate irregularities or deformities.
- Contour introductionThe filler is applied along the parting, making the contour more voluminous and pronounced.
Features of the recovery period
After correction, there may be pain at the puncture sites, which can be easily relieved with lidocaine spray. The penis looks swollen and small hematomas may appear. Swelling can last up to 5 days, hematomas disappear on the 6th day. There will be slight redness at the injection site. All of these changes shouldn't be scary. It must be taken into account that this is a very delicate organ with a large number of nerve endings and small vessels. Many men report frequent nighttime erections after the procedure. Serious complications are extremely rare and are most often associated with poor hygiene and infection of the injection sites, which become entry points for microorganisms. Sometimes hyperpigmentation can be observed at the site of the hematoma.
Restrictions after the procedure
After the introduction of hyaluronic acid, there are a number of restrictions and recommendations:
- interrupt intimate life for two weeks;
- Antibiotics are required for 5 days, then as directed;
- Be sure to treat the penis with anti-inflammatory and antiseptic agents.
- Do not take hot baths, exclude baths and saunas for a week.
Contraindications
As with any other procedure, filler injection has a number of contraindications:
- exacerbation of chronic diseases;
- blood disorders, including bleeding disorders;
- inflammatory diseases and acute viral infections (fever, fever);
- taking antibiotics and anticoagulants;
- Immune system diseases;
- herpes in the acute stage;
- malignant tumors;
- Diabetes mellitus.
Hyaluronate injections are not performed if a man at this time has an increased body temperature, fever or rashes or ulcers on the penis.
Clinical studies on the results of filler injections
Fillers appeared in our country relatively recently, so long-term clinical studies in this area have not been conducted. However, such experience was gained in foreign clinics. The results of one of the long-term observations conducted by scientists led by Professor De Yul Yang in the Department of Urology at Cha Meditech Co. , Ltd. Clinic. , Korea, have already been published. The aim of these studies was to summarize the long-term clinical outcomes of hyaluronic acid (HA) injections.
The multicenter, randomized study was conducted for 18 months after a single filler injection between November 2016 and May 2018. The study involved 67 healthy men aged 20 to 66 who thought their penis was smaller than normal for an adult.
All observed men underwent an initial examination before the study and a detailed medical history was taken with a focus on psychiatric and psychological problems. You consented to the processing of your personal data.
The study was conducted using SAS version 9. 4 (SAS Institute Inc. , Cary, NC, USA) by an independent biostatistician. During the blinded portion of the study, all post-injection assessments at each site were performed by an independent physician who was not involved in the examination or injection of excipients.
research results
Overall, the penises were smooth, natural, and flexible, and the increase in girth persisted for up to a year and a half after the filler injections. No bumps, retraction, hardening or deformation of the penis, or migration of fillers were observed. Six months after injection, the average increase in penile circumference was 1. 91 cm, then the average circumference gradually decreased until the age of 18 months, and after one and a half years it was +1. 79 ± 1. 41 cm.
Dynamics of increasing the circumference of the penis after injection of filler with hyaluronic acid:
| Study time after administration | Average penis circumference in the group (cm) | Deviation from average value (cm) |
| Before the injection | 7, 74 | ±1. 40 |
| 1 month | 10. 15 | ±1. 57 |
| 3 months | 10. 25 | ±1. 64 |
| 6 months | 9, 74 | ±1. 83 |
| 18 months | 9/08 | ±1. 87 |
Satisfaction level
After a month, the indicators of the appearance of the penis increased significantly. This improvement lasted up to six months. They then gradually decreased until the age of 18 months, but after a year and a half the values were significantly higher than at the beginning. After three months, sexual activity increased significantly. This increase lasted up to a year and a half.
Results of the study
The study found that the hyaluronic acid filler resulted in a significant increase in penile girth and increased satisfaction associated with the injection. The procedure was tolerable and no major complications were observed over a period of 18 months.
Hyaluronic acid consists of natural ingredients and has a direct and passive effect. After the injection, the filler is gradually absorbed into the surrounding tissue. As hyaluronate breaks down into smaller fragments, the molecules bind more water; the same volume can be maintained for several months with less hyaluronic acid. Then the result decreases steadily. The reinforcing effect of the filler lasts up to 18 months.
The results of the present study are comparable to the results of previous studies and demonstrate the clinical benefit of the gel, its effectiveness and safety. Since hyaluronic fillers are a temporary treatment, long-term follow-up care after the injection is of utmost importance. As for the enhancing effect, after the filler injection, the penis girth increased to a maximum within about a month. Satisfaction with the appearance of the penis increased significantly about a month after the filler injections. This increase lasted approximately 6 to 12 months. Then they gradually decreased to a year and a half; However, satisfaction was still higher than at the start of the study.
The study showed that increased satisfaction with sexual activity after filler injections lasted for 18 months, although increased penile girth gradually decreased over time. The discovery suggests that injecting the filler may relieve psychological stress associated with sexual activity. This also supports the idea that men who want to enlarge their penis suffer from psychological stress. They often need psychological counseling or psychotherapy.
Compatibility of hyaluronate injection with other types of augmentation
The introduction of hyaluronate into the penis can be combined with other surgical procedures:
- Ligamentotomy— surgical procedure to cut the ligament supporting the penis;
- Liposuction of the pubic area— Extraction of fatty tissue that hides the penis in overweight men;
- Lipofilling- Increasing the circumference of the penile shaft by subcutaneously injecting your own lipids;
- Scrotal plastic surgery- removal of the scrotum sail, which hides centimeters of the genital organ;
- Circumcision of the foreskin- removal of the dermis around the head;
- Denervation of the head- Reducing sensitivity by removing part of the penile nerves.
The doctor decides separately on a case-by-case basis whether certain forms of penis correction are compatible and whether such surgical procedures are necessary.